Book Club Member Form
Please submit this form only if you are interested in becoming a member of Centralia Regional Library District's Book Club for adults at any time this year. You do not need a CRLD library card to be a member.
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First and Last Name
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Phone Number (Include Area Code)
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Email (If you don't have one, type "N/A")
*
Library Card Number
Preferred Reading Format
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Secondary Preferred Reading Format
*
Preferred Genre(s) (can be Fiction and/or Nonfiction)
How did you hear about our Adult Book Club?
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